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Osteoarthritis of the HipPHRNCT06792539

Evaluate the Safety and Effectiveness of the Polymotion Hip Resurfacing (PHR) System Compared to Total Hip Arthroplasty

A study testing Polymotion Hip Resurfacing (PHR) System in people with Osteoarthritis of the Hip and Degenerative Joint Disease of Hip, run by JointMedica Inc. at 9 sites in 2 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The goal of this clinical trial is to evaluate the safety and effectiveness of the Polymotion Hip Resurfacing (PHR) System compared to total hip arthroplasty, for adults who require hip resurfacing arthroplasty due to 1) non-inflammatory arthritis (degenerative joint disease) such as osteoarthritis, traumatic… Read more about this study

Who is it for?
Ages 21 to 65 years
What is being tested?
Polymotion Hip Resurfacing (PHR) System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
238 participants
Where
9 sitesin 2 countries
Study dates
22 Jan 2025to Jun 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

In order to be eligible to participate in this study, subjects must meet all of the following criteria:

  1. Requires primary hip resurfacing arthroplasty due to:
  2. non-inflammatory arthritis (degenerative joint disease) such as osteoarthritis, traumatic arthritis, or
  3. mild dysplasia/developmental dislocation of the hip (DDH) up to Crowe Grade 1.
  4. Harris Hip Score < 70 points.
  5. Skeletally mature, age ≥21 and <65 years.
  6. Physically and mentally able and willing to comply with the Protocol, including the ability to read and complete required forms and willing and able to adhere to the scheduled follow-up visits and requirements of the Protocol.

Subjects who meet any of the following criteria will be excluded from participating in this study:

  1. Inadequate bone stock or bone quality to support the device based on a Canal-Bone Ratio (CBR-7) of >0.45.0F
  2. Severe osteopenia, a medical history or increased risk of severe osteoporosis or severe osteopenia, a history of fragility fracture, and other conditions that lead to increased bone resorption
  3. Osteonecrosis or avascular necrosis (AVN)
  4. Multiple cysts of the femoral head (> 1cm) or cysts crossing the head-neck junction
  5. Metabolic disorders which may impair bone formation (e.g., osteomalacia, osteogenesis imperfecta, parathyroid disease, rickets, etc.)
  6. Severe femoral head deformities that will prevent fixation of the prosthetic resurfacing femoral head
  7. Inflammatory arthritis such as rheumatoid arthritis (RA)
  8. Severe proximal femoral rotational deformity in whom appropriate combined anteversion of femoral-acetabular construct is unachievable
  9. Severe acetabular dysplasia/development dislocation of the hip, defined as Crowe Grade ≥ 2
  10. Previous surgical intervention on index hip (e.g., treatment of hip fracture, arthroscopy)
  11. Severe medical comorbidities, including:
  12. severe cardiopulmonary disease,
  13. congestive heart failure,
  14. severe liver or kidney dysfunction,
  15. end-stage renal disease,
  16. severe uncontrolled diabetes,
  17. history of IV drug use,
  18. history of hypercoagulable state or pulmonary embolism,
  19. severe lumbar spinal stenosis,
  20. vascular insufficiency, muscular atrophy, or neuromuscular disease severe enough to compromise implant stability or post-operative recovery,
  21. neuropathic arthropathy (Charcot joint),
  22. immunosuppression or other immunodeficiency disorders, e.g., diseases such as Acquired Immune Deficiency Syndrome (AIDS) or post-organ transplant and on high doses of corticosteroids.
  23. Incompetent or deficient soft tissue surrounding the joint (e.g., hip abductor muscle deficiency)
  24. BMI > 40
  25. Active or suspected infection in or around the hip joint
  26. Known or suspected metal sensitivity (e.g., jewelry) or allergy to any implant materials
  27. Pregnant or plan to become pregnant during the study duration
  28. Current smoker

Trial locations and contacts

9 sites in 2 countries.

9 sites in 2 countries

United States8 sites
  • Sinai Hospital / LifeBridge Health

    Baltimore, Maryland, 21215

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • Midlands Orthopaedics & Neurosurgery

    Columbia, South Carolina, 29210

  • Joint Implant Surgeons

    New Albany, Ohio, 43054

  • NYU Longone

    New York, New York, 10003

  • Hampton Road Orthopaedics

    Newport News, Virginia, 23606

  • Oregon Health & Science University

    Portland, Oregon, 97239

  • Florida Medical Clinic Orlando Health

    Tampa, Florida, 33613

Other trials in United States

Bermuda1 site
  • Orthopaedic and Physiotherapy Associates

    Paget, Trevelyan, DV04

About this study

Official title: A Multi-Center, Prospective, Non-Randomized, Pivotal Trial Evaluating the Safety and Effectiveness of the Polymotion Hip Resurfacing System

The goal of this clinical trial is to evaluate the safety and effectiveness of the Polymotion Hip Resurfacing (PHR) System compared to total hip arthroplasty, for adults who require hip resurfacing arthroplasty due to 1) non-inflammatory arthritis (degenerative joint disease) such as osteoarthritis, traumatic arthritis, or 2) mild dysplasia/developmental dislocation of the hip (DDH) up to Crowe Grade 1.

Read the detailed description

The PHR® System is a single-use device consisting of a Cobalt Chromium, bone-cemented femoral head component, and a cementless acetabular component comprising of a Vitamin E polyethylene (Vit E-XPE) bearing with a titanium coating.

The PHR® System is intended for patients who, due to their relatively younger age (under 65) and increased activity level, may not be suitable for traditional total hip arthroplasty due to an increased possibility of requiring future ipsilateral hip joint revision.

Hip Resurfacing Arthroplasty (HRA) is a surgery that has been developed as an alternative to Total Hip Arthroplasty (THA), especially for younger, more active patients. Studies done on past designs of HRA demonstrate the following noteworthy benefits of the HRA procedure when compared with THA: bone conservation, improved gait, higher activity levels, lower rates of dislocations, reduced thigh pain, and reduced alteration in leg length. Hip resurfacing restores the natural shape of the joint meaning better stability, longevity, and higher levels of activity than a traditional hip replacement.

In Total Hip Replacement, the femoral head and neck (ball joint of the hip) is removed and replaced by a long, stemmed device. The procedure is highly successful; however, in some cases the replacement hip joint has the potential to wear out much more quickly in younger, more active patients, leading to revision surgery being required. With the PHR® procedure, your surgeon removes less bone from the femoral head of the femur and retains the femoral neck. The femoral head is shaped to accept a low-wear metal cap. This spherical cap closely matches your anatomy, reducing the risk of dislocation, and offering a broad range of movement and excellent stability. The acetabular socket (cup joint of the hip) is then fitted with a corresponding polyethylene component, significantly reducing potential reactions to metal ions associated with historic Metal-on-Metal hip resurfacing devices.

A comprehensive range of sizes is offered to address the needs of most patients. Both components are designed to be implanted, to achieve reconstructive and functional replacement of the hip joint. The PHR® System is intended to offer the traditional benefits of hip resurfacing over total hip arthroplasties, such as bone conservation and restoration of natural biomechanics, without a metal-on-metal articulating surface.

Being tested
Polymotion Hip Resurfacing (PHR) System
Keywords
hip resurfacing, Osteoarthritis of the Hip, deterioration of hip cartilage, Polymotion
Medical subject headings
Osteoarthritis, Hip, Hip Dislocation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Polymotion Hip Resurfacing (PHR) SystemDevice

    Surgical

Study groups in NCT06792539
Study groupRoleWhat they receive
Polymotion Hip Resurfacing (PHR) SystemExperimentalThe investigational device, Polymotion Hip Resurfacing System ("Polymotion" or "PHR"), is a metal-onpolyethylene hip resurfacing device consisting of a metallic femoral component and an acetabular component made of Vitamin E HXLPE with a titanium coating on its bone-contacting surface. Both components are designed to be permanently implanted, to achieve reconstructive and functional replacement of the hip joint. The PHR System is intended to offer the traditional benefits of hip resurfacing over total hip arthroplasty, such as bone conservation and restoration of natural biomechanics, without a metal-on-metal articulating surface.
Receives: Device: Polymotion Hip Resurfacing (PHR) System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The primary objective of this study is to evaluate the safety and clinical effectiveness of the Polymotion Hip Resurfacing System.

    The proportion of Polymotion subjects achieving Month-24 composite clinical success (CCS) will be compared to a propensity-score matched total hip arthroplasty control group collected from Rush University Medical Center, with the goal of demonstrating non-inferiority.

    Composite clinical success will be analyzed via Harris Hip Scores measuring pain, activity, and function, absence of device subsidence, progressive radiolucencies, osteolysis or migration through radiographic assessment, and the absence of serious safety events (secondary surgical interventions for the index hip or serious device-related adverse events).

    Measured: 24 months

Secondary outcomes (6)
  1. Harris Hip Score, and sub-scores of HHS for pain and function

    The Harris Hip Score is used to measure pain severity, function, and absence of deformity.

    Each hip joint is scored on nine parameters, generating a total score representing the severity of the condition. The lower the score the better. The minimum score for each hip is 0 and the maximum is 53, giving a range for the total score of 0 to 106.

    Measured: 24 months

  2. SUSHI-University of California Los Angeles (UCLA) Activity Scores

    The SUSHI-UCLA Activity Score is a 10-item assessment of physical activity level to assess patients overall state, pain and limitations of their hip.

    Measured: 24 months

  3. Hip Disability and Osteoarthritis Outcome Score, Joint Replacement (HOOS JR), and sub-scores of HOOS JR for pain and function

    The HOOS JR Survey is a short form of the HOOS that assesses patient pain (2 items), and functions of daily living (4 items).

    Measured: 24 months

  4. Forgotten Joint Score

    The Forgotten Joint Score consists of 12 questions, scored on a 0-100 scale, intended to determine a patient's ability to "forget" about their affected joint after surgery or treatment.

    Measured: 24 months

  5. SF-12

    The SF-12 is a health-related quality-of-life questionnaire consisting of twelve questions that measure eight health domains to assess physical and mental health.

    Measured: 24 months

  6. Radiographic success

    Absence of migration, subsidence, and osteyloysis

    Measured: 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jan 2025
  2. Study start22 Jan 2025
  3. Primary completionApr 2028 (estimated)
  4. Study completionJun 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
A multicenter, prospective, non-randomized, propensity score-adjusted, pivotal study
Masking
None (open label)
Enrolment
238 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06792539
Sponsor's protocol ID
CI001
Acronym
PHR
Status last verified
Oct 2025
First submitted
15 Jan 2025
Last updated
1 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Singh JA, Schleck C, Harmsen S, Lewallen D. Clinically important improvement thresholds for Harris Hip Score and its ability to predict revision risk after primary total hip arthroplasty. BMC Musculoskelet Disord. 2016 Jun 10;17:256. doi: 10.1186/s12891-016-1106-8.

    PubMed 27286675
  • Treacy RBC, Holland JP, Daniel J, Ziaee H, McMinn DJW. Preliminary report of clinical experience with metal-on-highly-crosslinked-polyethylene hip resurfacing. Bone Joint Res. 2019 Nov 2;8(10):443-450. doi: 10.1302/2046-3758.810.BJR-2019-0060.R1. eCollection 2019 Oct.

    PubMed 31728182
  • Cadossi M, Tedesco G, Sambri A, Mazzotti A, Giannini S. Hip Resurfacing Implants. Orthopedics. 2015 Aug;38(8):504-9. doi: 10.3928/01477447-20150804-07.

    PubMed 26270748
  • Joshi AB, Porter ML, Trail IA, Hunt LP, Murphy JC, Hardinge K. Long-term results of Charnley low-friction arthroplasty in young patients. J Bone Joint Surg Br. 1993 Jul;75(4):616-23. doi: 10.1302/0301-620X.75B4.8331119.

    PubMed 8331119
  • Dorr LD, Kane TJ 3rd, Conaty JP. Long-term results of cemented total hip arthroplasty in patients 45 years old or younger. A 16-year follow-up study. J Arthroplasty. 1994 Oct;9(5):453-6. doi: 10.1016/0883-5403(94)90090-6.

    PubMed 7807101
  • Bradley GW, Freeman MA, Revell PA. Resurfacing arthroplasty. Femoral head viability. Clin Orthop Relat Res. 1987 Jul;(220):137-41.

    PubMed 3594982
  • CHARNLEY J. Surgery of the hip-joint: present and future developments. Br Med J. 1960 Mar 19;1(5176):821-6. doi: 10.1136/bmj.1.5176.821. No abstract available.

    PubMed 13809344
  • Hu D, Tie K, Yang X, Tan Y, Alaidaros M, Chen L. Comparison of ceramic-on-ceramic to metal-on-polyethylene bearing surfaces in total hip arthroplasty: a meta-analysis of randomized controlled trials. J Orthop Surg Res. 2015 Feb 3;10:22. doi: 10.1186/s13018-015-0163-2.

    PubMed 25645809
  • Varnum C. Outcomes of different bearings in total hip arthroplasty - implant survival, revision causes, and patient-reported outcome. Dan Med J. 2017 Mar;64(3):B5350.

    PubMed 28260601
  • Campbell P, Ebramzadeh E, Nelson S, Takamura K, De Smet K, Amstutz HC. Histological features of pseudotumor-like tissues from metal-on-metal hips. Clin Orthop Relat Res. 2010 Sep;468(9):2321-7. doi: 10.1007/s11999-010-1372-y.

    PubMed 20458645
  • Corradi M, Daniel J, Ziaee H, Alinovi R, Mutti A, McMinn DJ. Early markers of nephrotoxicity in patients with metal-on-metal hip arthroplasty. Clin Orthop Relat Res. 2011 Jun;469(6):1651-9. doi: 10.1007/s11999-010-1682-0.

    PubMed 21108029
  • Visuri T, Borg H, Pulkkinen P, Paavolainen P, Pukkala E. A retrospective comparative study of mortality and causes of death among patients with metal-on-metal and metal-on-polyethylene total hip prostheses in primary osteoarthritis after a long-term follow-up. BMC Musculoskelet Disord. 2010 Apr 23;11:78. doi: 10.1186/1471-2474-11-78.

    PubMed 20416065
  • Smith AJ, Dieppe P, Porter M, Blom AW; National Joint Registry of England and Wales. Risk of cancer in first seven years after metal-on-metal hip replacement compared with other bearings and general population: linkage study between the National Joint Registry of England and Wales and hospital episode statistics. BMJ. 2012 Apr 3;344:e2383. doi: 10.1136/bmj.e2383.

    PubMed 22490979
  • Kendal AR, Prieto-Alhambra D, Arden NK, Carr A, Judge A. Mortality rates at 10 years after metal-on-metal hip resurfacing compared with total hip replacement in England: retrospective cohort analysis of hospital episode statistics. BMJ. 2013 Nov 27;347:f6549. doi: 10.1136/bmj.f6549.

    PubMed 24284336
  • Gill HS, Grammatopoulos G, Adshead S, Tsialogiannis E, Tsiridis E. Molecular and immune toxicity of CoCr nanoparticles in MoM hip arthroplasty. Trends Mol Med. 2012 Mar;18(3):145-55. doi: 10.1016/j.molmed.2011.12.002. Epub 2012 Jan 12.

    PubMed 22245020

Questions about this trial

What is this clinical trial studying?

A study testing Polymotion Hip Resurfacing (PHR) System in people with Osteoarthritis of the Hip and Degenerative Joint Disease of Hip, run by JointMedica Inc. at 9 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States, Bermuda. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The primary objective of this study is to evaluate the safety and clinical effectiveness of the Polymotion Hip Resurfacing System. (time frame: 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06792539, which also lists 41 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2026.

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